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1013336262
PHILBERT WALCOTT
NEW YORK, NY
NPI
1013336262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 17361)
Enumeration Date
2014-04-15
Last Update Date
2014-04-15
Business Address
-- PHILBERT WALCOTT CASAC
177 EAST 122ND STREET
NEW YORK, NY 10035
Phone number: 212-360-7116
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Mailing Address
-- PHILBERT WALCOTT CASAC
3422 KNOX PLACE APT. 2B
BRONX, NY 10467
Phone number: 718-881-3905
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